Nelson, Marc
Nelson, Marc is an sole proprietor health care provider with primary practice located at 185 N Route 73 , West Berlin NJ 08091-9208. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nelson, Marc can be contacted via phone (856) 767-5033.Contact Information
Primary practice address
185 N Route 73
West Berlin NJ 08091-9208
Phone: (856) 767-5033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4802 | New Jersey |
Profile Details
| NPI number | 1295715241 |
|---|---|
| LBN Legal business name | Nelson, Marc |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295715241 | NPPES |
| New Jersey | Other | 0834480000 | AMERIHEALTH |
| New Jersey | Other | J023980 | AMERIHEALTH |
| New Jersey | Other | 01000670400 | AMERIHEALTH |
| New Jersey | Other | 2K0196 | AMERIHEALTH |
| New Jersey | MEDICAID | 5223407 | AMERIHEALTH |
| New Jersey | Other | 451960 | AMERIHEALTH |
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